ArticleSurgical endoscopy2018
Changing trends and outcomes associated with the adoption of minimally invasive hepatectomy: a contemporary single-institution experience with 400 consecutive resections.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.
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Who cites it
50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- The risk factors of intraoperative conversion during laparoscopic hepatectomy: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2022Pooled it
- Efficacy of Laparoscopic HepatectomyFrontiers in oncology · 2021Pooled it
- Robotic Versus Laparoscopic Hepatectomy: a Systematic Review of Perioperative and Short-Term Oncologic Outcomes.Maedica · 2026Review
- Scientific growth and research impact in robotic hepatobiliary and pancreatic surgery: evidence from almost 1,000 publications and top- 100 most cited literature.Journal of robotic surgery · 2026Article
- Adoption of pure laparoscopic liver resections: a single-institution experience with the first 1000 consecutive resections.Surgical endoscopy · 2026Article
- Robotic Hepatectomy for Primary Liver Cancer.Annals of surgical oncology · 2026Review
- Early (≤ 1 year) anastomotic complications after laparoscopic and robotic hepaticojejunostomy: initial experience from a single center.Surgical endoscopy · 2026Article
- Association of operative approach with adverse events following hepatic resections.Surgery open science · 2025Article
- A Decade of Innovation: Short-Term Outcomes of 150 Robotic Liver Resections.Journal of clinical medicine · 2025Article
- Association between surgeon volume and the use of laparoscopic liver resection: retrospective cohort study.BJS open · 2024Article
- Early outcomes of single-port robotic left lateral sectionectomy in patients with hepatic tumor.Annals of surgical treatment and research · 2024Article
- Impact of liver cirrhosis, severity of cirrhosis and portal hypertension on the difficulty of laparoscopic and robotic minor liver resections for primary liver malignancies in the anterolateral segments.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2024Article
- Impact of Liver Cirrhosis, Severity of Cirrhosis, and Portal Hypertension on the Difficulty and Outcomes of Laparoscopic and Robotic Major Liver Resections for Primary Liver Malignancies.Annals of surgical oncology · 2024Article
- Impact of Tumor Size on the Difficulty of Laparoscopic Major Hepatectomies: An International Multicenter Study.Annals of surgical oncology · 2023Article
- ASO Author Reflections: Impact of Tumor Size on the Difficulty of Laparoscopic Major Hepatectomies: A Step Towards a New and Improved Difficulty Score for Laparoscopic Hepatectomies.Annals of surgical oncology · 2023Article
- A propensity score matched analysis of robotic and open hepatectomy for treatment of liver tumors. Clinical outcomes, oncological survival, and costs comparison.Journal of robotic surgery · 2023Article
- Article
- Sub-classification of laparoscopic left hepatectomy based on hierarchic interaction of tumor location and size with perioperative outcomes.Journal of hepato-biliary-pancreatic sciences · 2023Article
- Robotic versus laparoscopic liver resections for hepatolithiasis: an international multicenter propensity score matched analysis.Surgical endoscopy · 2023Article
- Impact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2023Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral studies published mainly from pioneers and early adopters have documented the evolution of minimally invasive hepatectomy (MIH). However, questions remain if these reported experiences are applicable and reproducible today. This study examines the changing trends, safety, and outcomes associated with the adoption of MIH based on a contemporary single-institution experience.
methodsThis is a retrospective review of 400 consecutive patients who underwent MIH between 2006 and 2017 of which 360 cases (90%) were performed since 2012. To determine the evolution of MIH, the study population was stratified into four equal groups of 100 patients. Analyses were also performed of predictive factors and outcomes of open conversion.
resultsFour hundred patients underwent MIH of which 379 (94.8%) were totally laparoscopic/robotic. Eighty-eight (22.0%) patients underwent major hepatectomy and 160 (40.0%) had resection of tumors located in the posterosuperior segments. There were 38 (9.5%) open conversions. Comparison across the four groups demonstrated that patients were older, had higher ASA score, and had increased frequency of previous abdominal surgery and repeat liver resections. There was also an increase in the proportion of patients who underwent totally laparoscopic/robotic surgery, major liver resection, resection of ≥ 3 segments, and multiple resections. Comparison of outcomes demonstrated that there was a significant decrease in open conversion rate, longer operation time, and increased use of Pringles maneuver. The presence of cirrhosis and institution experience (1st 100 cases) were independent predictors of open conversion. Patients who required open conversion had significantly increased operation time, blood loss, blood transfusion rate, morbidity, and mortality.
conclusionThe case volume of MIH performed increased rapidly at our institution over time. Although the indications of MIH expanded to include higher risk patients and more complex hepatectomies, there was a decrease in open conversion rate and no change in other perioperative outcomes.
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